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740093.pdfe i UB°� PERMIT 740093 - f \.._ BUILDING DEPARTMENT Appllcant Fill NE NUMBER PERMIT APPLICATION I Inside Heavy LinesADDRSSB �0 9d - NAM N OF Bup"r�ee) _ PEIta1E O ACTUAL IAT COVERAGE- J5 O LOT COVE AD£ ) t MAI n0 AD REBBCI PERMIBeIHLE HEIGHT PROPOSED HEIGHT D / t�+ O X CITY TELEPHONE NUMBER A I UAL LOT � REA TOTAL HLUG. REA 4 REQUIRED YARDS PROPOSEDYA U8 + �. NAME FRONT BIDE REAR FRONT HIDE .EAR I.. ft /5 EO L LOT VARIANCE OR CONDITIONAL E W ADDRESS 'S ❑ O 1 RMIT NUMBER H U .j CITY TELEPRONE NUMBER PL NOD ATE: - c TRE /lV � � EXIS G STREET R�-.-t ..�FT. DEFICIENCY/ PROPERTYi O I NAME .THIS COMP. PLAN ST. _C1�� R°MARKS Driveway sZopes not to exceed those o Ol ADDRESS indicated on standard Iheg. No. Z03. CIiECKED BY h CITY ` T,,,EPH/OIIE14U(M�BEE-R I ,/ �� Ini17 PnU�i� WIQIIJCT_` �ni'(1TI)Y) 1 ' VLr7a�'� �G�J I / '6 METER BILE SERVICE SIZE CLEARANCEI CH ED 11 - STATE L ENSE NUMBER CITY LICENSE NUMBERpE� I I y v3. f71. I r/ 77 RE 8 , Legal Description of Property (Show Below or Allach Four Copies) TYPE CONNECTION VIT Y Ell , 1 PEAC. TEST FERMI M ER I U pj REMARKS � O fl V FIRE ZONE TYPE OF CONSTRUCTION BTR IlSPRO VED � z — /V"YEB ❑ NO SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP �REBIDENTIAL GAS ❑ LINE ❑ YES �O �N£w PLAN CRECK D H THIS SITE IS LOCATED IN THE CITY NON-RE....NTIAL .lax / y� /n OF EDMONDS. LOCAL SALES TAX �}/�ytl�Y.hr ADD RETAINING il/`SHOIIL!) EE C��EI) 3L04 — i DEMOLISH � WALL `.SImA�Rif. EXCAVATE FENCE %��//i(/L /�O/✓ �,L�r �G.ill�� ALTER ❑ ❑ OR FILL (........ _x .......... Ft.) REPAIR -MOVE ❑ i //JQ ` ��pp) r may ON ❑PRE IPPOOL /%.•-^/ iy NUMBER OF STORIES NUMHER OF - DWELLING ( UNITS NATURE OF WORK TO HE D/O`NEVnluntlon Fee Receipt No. ' Pion Check .0 - AJ BUILDING fOy L PROPOSED USE�-� PLUMBING HEAT & GAB LINE aPLOT PLAN (Indicate Building setbacks, abutting stroets) 9 I O FENCE SIGN tRETAINING WALL N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOTAL AMOUNT DUE �i I hereby acknowledge that I have read this application; that the in- ✓ 7 formation given Is correct; and that I am the owner, or the duly wlhor- Ised agent of the owner. I agree to comply with city and statlaws re u. ATTENTION APPLICATION APPROVAL lend construction; and In doing the work authorised them,". no person will be employed In violation of the Labor Cade of the State of Washington THIS PERMIT This application is not a permit until relating to Workmen'. Compensation Insurance. AUTHORIZES signed by the Building Official or his Dep - NOTE: Permit limit One Year (Except DEMOLITIONS which ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac - shall be completed In bluely day., MOVED -IN BUILDINGS .hall be rom- latowledged in space provided. plet d In six months.) SI TUR (OWNER OR AGENT) DATE 1111111011 INSPECTION D E TOWS SIUNATURE —7 DEPARTMENT t CITY OF v EDBEONDS ATE >.---, -__-- �--- NOTE: Appftcant Subject to Plan Check Fee PR 0-I107 J _ This Permit coven work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, FILE roaraucas, eta.) will ream separate pesmisslon. Ol << 'T—f 7 CITY TELEPHONE NUMBER TREEt/W ly'', EXIe'I6 STREET R/VW....nFT.r UF.FICtENCYTHIe PF NAME .� - , �. li!✓ �/. �_ C�c_"(.LL COMP. PLAN ST. n/Y�';� OFf, ...(2..,. REMARKS T;ir.vewa?y u^Zopeq not to exceflo Y r ADDRESS i• / L fi 1,%lltl.Catad O)I .itandard WE. 30. 103. C(H'0EC4I EIC1 IoW. U! C' . jam• `j.''�Li:T�i� / % ." `[ / I F CITY E/L7E/ONE NUMl'BFRa l)�I� , A' IPI tIDI USE PERMIT /6.•i�I U. iiJ BEItV10E B1ZE I CLbARA NCE CRECHE[ BUILDING DEPARTMENT Applicant Fill NUMBER �5• 7L�ICE�N�S�E n -• N Yf • U/' 7 "/ � I inside heavy Lines PERMIT APPLICATION ADDRESS W I NAME- R N OF HUBIN)CBS) ff PERMIASIHLE J LACTUAL e LOT COVERAGE 3J Oe LOT COVERAGE j m O MAILING ADDRESS PERMISSIBLE HEIGHT 77 PROPOSED HEIGHT FIRE ZONE TYPE OF CONWMUCILOIJLT :FiE M O ED � ' I BLUO, J 7! A O O �� TE PHOI7E UMBbR CITY .. ,r AL/ T .yREA COTAL �RF.A / W OCCUPANCY GROUP ..r G' v �y„_r-a----�.'CT Z( h jiff REgVIItED YARDS 1 ROPOHLU YARDH RONT AIUE R}:Alt FRONT AIU4: REAR t i NAME IA F EOAI. LO'f iES fl O VARIA NC4: Olt CON )IT10NA P RMIT NUMBER E } NON-RESIDENTIAL BION H ADDRESS D f A AL DATE' / RE ARRB � / I L N6 El DEMOLISH FENCE 3— Ol << 'T—f 7 CITY TELEPHONE NUMBER TREEt/W ly'', EXIe'I6 STREET R/VW....nFT.r UF.FICtENCYTHIe PF NAME .� - , �. li!✓ �/. �_ C�c_"(.LL COMP. PLAN ST. n/Y�';� OFf, ...(2..,. REMARKS T;ir.vewa?y u^Zopeq not to exceflo Y r ADDRESS i• / L fi 1,%lltl.Catad O)I .itandard WE. 30. 103. C(H'0EC4I EIC1 IoW. U! C' . jam• `j.''�Li:T�i� / % ." `[ / I F CITY E/L7E/ONE NUMl'BFRa l)�I� , A' IPI tIDI U CITY LICENSE NUMBE}t BEItV10E B1ZE I CLbARA NCE CRECHE[ STATE QN N.Ur�MBER -'� �5• 7L�ICE�N�S�E n -• N Yf • U/' 7 "/ � I RE776AF1H8 LegalDescription of Property (BhoW Below or AttaCh Four Copies) (,' /i� �,`.' <�/� �,V I /� /� / �U ��-� `�'u I i I L TYPE CONNECTION VEAIFIE Y . I \ O ) t"U �i V'`yu:L PERC. -7- M Ell a• W I WREMA t m O 0 FIRE ZONE TYPE OF CONWMUCILOIJLT :FiE M O ED � I I A O SPECIAL INSPECTOR REQUIRED OCCUPANCY GROUP ..r j I ©• RESIDENTIAL ❑ LINE PLAN CRECRED ➢�y THIS SITE 15 LOCATED IN THE CITY '-' LOCAL SALES TAX - NEW NON-RESIDENTIAL BION ;: OF EDMONDS. �.(�.[ �,1'rt� r%�ro!lii �/l"h`-�' HOULD BE CODED 31L ! , ❑ADD LiRETAINING WALL RE ARRB � / I El DEMOLISH FENCE i ALTER ❑ EXCAVATE ❑ OR FILL L.......... ........... i swillF1.7 REPAIR ❑ PRE•EfOVE ❑ POOL INBP. x a/5 rLC-/ V NUMBER OF STORIES NUMBER OF n I DWELLING I - .- -� i _� -%/U �J� i 1 - UNITS l I NATURE OF WORK TO 8E DONE ?,J t.lhl N ) , y/ ' Plan Check Valuation I Few c_ Receipt No. O HUILDIN6 - tr PROPOSED UBE PLUMBING APLOT PLAN (Indlcnte -111119 eelbncke. abutting et ... ts) HEAT & 6A8 LINE 5 � FENCE SIGN JJI tRETAINING WALL 11 N SWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL ' 11 I rJU fakl! (� i TOTAL AMOUNT DUE Iboreby aelmowledge that I have read this application; that the In- formation given Is correct; and that I sm the owner, or the duly author- city and stale taws reg.- APPLICATION APPROVAL Ized agent of the owner. I agree to comply with laung construction; and m doing the work authorized thereby, no person of the Labor Code of the State of Washington ATTENTION TINA PERMIT This application is not a permit until , will be employed In violation r.leting to Workmen's Compensation Iosuremoe. AUTHORIZES signed by the Building Official or his Dep - ONLY THE uty; and fees are paid, and receipt is ac - NOTE: Permit Limit One Your (Except DEMOLITIONS Which WORK NOTED knoWledged in apace provided. .hall be completed In ninety days; MOVED -IN BUILDINGS shalt be com- plelid In .1. months.) INSPECTION D35CEQTOA'8 SIGNATURE , 616NATURF/ (OWNER OR AGENT) DATE SIGNED . , -2- DEPARTMENT CITY OF DATE / NOTE: Applicant Subject to Plan Check Fee Pn a-Iloy TNs Permit coven work to be done on private property ONLY - Any construction an the public domain (curbs, sidewalks, driveways, marquees, eto.)Will require separate pamUslon. / I�IRIrgII111I1M♦g1rl gf-tlsingerflrnilgYwrrlllr